2008 Membership Application
Coyote Run Saddle Club @ 4393
Gainesville Rd, Mason, TN. And the Coyote Run Arena are NOT responsible for any
stolen or damaged articles: and any injuries or accidents that may occur on or
off the show ground premises, including accidental death or death of any kind.
INDIVIDUAL ANNUAL MEMBERSHIP FEE: $15.00
FAMILY ANNUAL
MEMBERSHIP FEE:
$25.00
Name:
________________________________________________
If you are under 18 and are
joining as individual member , you MUST include your date of birth.
SPOUSE________________________________________________
ADDRESS:______________________________________________
street
______________________
__________
___________________
City
state
zip
Please include your
email address so we can keep you updated on CRSC events
Children:
BIRTHDATE REQUIRED Must be 21 and under
NAME:_________________________________________________
AGE:____________________BIRTHDATE_____________________
NAME:_________________________________________________
AGE:____________________BIRTHDATE_____________________
NAME:__________________________________________________
AGE:____________________BIRTHDATE______________________
Please
Make checks Payable to Coyote Run Saddle Club
Mail to: Carl Wright, CRSC MBRSHP
213 Stafford Rd.